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Impact of traumatic brain injury on sleep: an overview
Traumatic brain injury (TBI) is a global health problem that affects millions of civilians, athletes, and military personnel yearly. Sleeping disorders are one of the underrecognized sequalae even though they affect 46% of individuals with TBI. After a mild TBI, 29% of patients have insomnia, 25% ha...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6707934/ https://www.ncbi.nlm.nih.gov/pubmed/31692507 http://dx.doi.org/10.2147/NSS.S182158 |
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author | Aoun, Raissa Rawal, Himanshu Attarian, Hrayr Sahni, Ashima |
author_facet | Aoun, Raissa Rawal, Himanshu Attarian, Hrayr Sahni, Ashima |
author_sort | Aoun, Raissa |
collection | PubMed |
description | Traumatic brain injury (TBI) is a global health problem that affects millions of civilians, athletes, and military personnel yearly. Sleeping disorders are one of the underrecognized sequalae even though they affect 46% of individuals with TBI. After a mild TBI, 29% of patients have insomnia, 25% have sleep apnea, 28% have hypersomnia, and 4% have narcolepsy. The type of sleep disturbance may also vary according to the number of TBIs sustained. Diffuse axonal injury within the sleep regulation system, disruption of hormones involved in sleep, and insults to the hypothalamus, brain stem, and reticular activating system are some of the proposed theories for the pathophysiology of sleep disorders after TBI. Genetic and anatomical factors also come to play in the development and severity of these sleeping disorders. Untreated sleep disturbances following TBI can lead to serious consequences with respect to an individual’s cognitive functioning. Initial management focuses on conservative measures with progression to more aggressive options if necessary. Future research should attempt to establish the effectiveness of the treatments currently used, as well as identify manageable co-existing factors that could be exacerbating sleep disorders. |
format | Online Article Text |
id | pubmed-6707934 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-67079342019-11-05 Impact of traumatic brain injury on sleep: an overview Aoun, Raissa Rawal, Himanshu Attarian, Hrayr Sahni, Ashima Nat Sci Sleep Review Traumatic brain injury (TBI) is a global health problem that affects millions of civilians, athletes, and military personnel yearly. Sleeping disorders are one of the underrecognized sequalae even though they affect 46% of individuals with TBI. After a mild TBI, 29% of patients have insomnia, 25% have sleep apnea, 28% have hypersomnia, and 4% have narcolepsy. The type of sleep disturbance may also vary according to the number of TBIs sustained. Diffuse axonal injury within the sleep regulation system, disruption of hormones involved in sleep, and insults to the hypothalamus, brain stem, and reticular activating system are some of the proposed theories for the pathophysiology of sleep disorders after TBI. Genetic and anatomical factors also come to play in the development and severity of these sleeping disorders. Untreated sleep disturbances following TBI can lead to serious consequences with respect to an individual’s cognitive functioning. Initial management focuses on conservative measures with progression to more aggressive options if necessary. Future research should attempt to establish the effectiveness of the treatments currently used, as well as identify manageable co-existing factors that could be exacerbating sleep disorders. Dove 2019-08-19 /pmc/articles/PMC6707934/ /pubmed/31692507 http://dx.doi.org/10.2147/NSS.S182158 Text en © 2019 Aoun et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Review Aoun, Raissa Rawal, Himanshu Attarian, Hrayr Sahni, Ashima Impact of traumatic brain injury on sleep: an overview |
title | Impact of traumatic brain injury on sleep: an overview |
title_full | Impact of traumatic brain injury on sleep: an overview |
title_fullStr | Impact of traumatic brain injury on sleep: an overview |
title_full_unstemmed | Impact of traumatic brain injury on sleep: an overview |
title_short | Impact of traumatic brain injury on sleep: an overview |
title_sort | impact of traumatic brain injury on sleep: an overview |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6707934/ https://www.ncbi.nlm.nih.gov/pubmed/31692507 http://dx.doi.org/10.2147/NSS.S182158 |
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